Antenatal Care Visits and Early Detection of Pre-eclampsia Among Pregnant Women

The death of pregnant women is still the world\u27s attention in the field of health. The SDG\u27s indicator provides one of the goals in the health field. The target to be achieved is a global maternal mortality ratio of less than 70/100,000 live births by 2030. According to WHO, preeclampsia is one of the leading causes of maternal death in the world, including Indonesia. East Java Province with the highest ranking in Indonesia. One of the cities in East Java which is the leading contributor to preeclampsia is Surabaya with 16 cases in 2016. The government carries out the treatment to reduce maternal mortality due to preeclampsia through antenatal care. This study aimed to analyze antenatal care visits for early detection of preeclampsia. The method in this research is qualitative research method with data retrieval technique using in-depth interview. Based on the results of research antenatal care visits have an effect on early detection of preeclampsia. Pregnant women who regularly make antenatal visits can prevent possible dangers of pregnancy as early as possible. So the maternal mortality rate (MMR) due to pre-eclampsia can be decreased

Pengaruh Personal Reference, Thought and Feeling Terhadap Kesehatan Reproduksi Santri Putri Pondok Pesantren X

There are still many reproductive health problems in Indonesia which require attention from all parties. The reproductive health problems are caused by the lack of knowledge, comprehension and low responsibility among adolescents along with the limited access to the information of reproductive organs and functions. Therefore, personal hygiene in term of proper treatment for the reproductive organs is needed to decrease the problem of infectious diseases on reproductive organs. This study was conducted to examine the effect of personal reference, thought and feeling with behavioral treatments of reproductive organs among female students at X Islamic Boarding School, Jombang. This study employed observational design since the data collection was obtained without treatment of the sample as well as using cross sectional study design to the 45 respondents. The respondents were drawn from a population based on the simple random sampling method. The results of logistic regression test indicated that the factors which infl uence behavioral treatments on reproductive organs among female students are the respondents knowledge (p = 0,029; OR = 0,165), attitude (p = 0,009; OR = 0,113) and personal reference (p = 0,049; OR = 0,199). The personal reference was the most infl uent factor among female students in conducting behavioral treatment of their reproductive organs at X Islamic Boarding School, Jombang

Analysis Risk Factors of Asphyxia Neonatorum

Antenatal care is designed to promote, protect, and maintain the health during pregnancy and reduce maternal and neonatal mortality. The scope of antenatal care also includes the detection and special care for high risk cases as well as the prediction and prevention of complications during pregnancy and childbirth. Complications of pregnancy and childbirth causes of neonatorum asphyxia. Neonatorum asphyxia is a condition where the baby can not breathe spontaneously and regularly after birth. Neonatorum asphyxia cases in Mojokerto district has 46.9% in 2010 and 39.7% in 2014. This aim of this study was to analyze the effect of the quality of antenatal care to neonatorum asphyxia in Mojokerto. The type of this study was observational analytic with case control design with a sample of cases and controls amounted to 80 babies. Data was analyzed using univariate, bivariate and multivariate analysis with logistic regression. The results of this study showed that the quality of antenatal care was significant with neonatorum asphyxia (OR = 8,556; 95% CI:2,777–26,358). Confounding variables associated with neonatorum asphyxia were maternal occupation (OR = 4,558;95% CI:1,391– 14,298), primary education (OR = 21,620; 95% CI: 1,932–241,886), secondary education (OR = 20,977; 95%CI: 1,819–241,872). The conclusion quality of antenatal care has effect of nenatorum asphyxia. Suggestions can be drawn based on the results of this study are for health workers are expected to do health education to the public and families about the importance of antenatal care and antenatal care services that should be obtained from health workers

Partisipasi Semu Ibu Hamil di Posyandu

Salah satu kebijakan pembangunan bidang kesehatan yang dipergunakan untuk mengatasi kesehatan ibu hamil adalah pemberdayaan masyarakat. Keberhasilan pemberdayaan dapat diketahui melalui berbagai cara, salah satunya partisipasi masyarakat. Penelitian ini bertujuan untuk mengidentifikasi kondisi sosial, budaya, dan ekonomi yang mempengaruhi partisipasi ibu hamil ke posyandu. Penelitian ini menggunakan rancangan etnografi. Teknik yang digunakan untuk pengumpulan data adalah wawancara mendalam, focus group discussion, observasi dan nominal group process. Data yang diperoleh dari pendekatan kualitatif akan diolah dengan content analysis. Hasil penelitian ini menunjukkan kondisi sosial, budaya dan ekonomi yang mempengaruhi partisipasi ibu hamil ke posyandu di Desa Rapa Laok, bermula pada faktor kemiskinan. Kondisi sosial dan budaya yang berpengaruh pada partisipasi ibu hamil, yaitu kepercayaan pada mitos dan pantangan makanan bertentangan dengan aturan medis. Kondisi ekonomi yang berpengaruh pada partisipasi ibu hamil, yaitu beban fisik dan psikis ibu hamil terhadap kesejahteraan keluarga berlebihan. Ibu hamil datang untuk memeriksakan diri ke posyandu bukan karena kesadaran untuk menjaga kesehatan tetapi untuk mendapat imbalan satu dus mi instan. Model partisipasi ibu hamil ke posyandu yang tepat adalah dengan pendekatan nondirektif (partisipatif) yang produktif.One of the development policies in health sector that is currently used to overcome maternal health issues is the community empowerment. The success of the community empowerment can be measured through the people participation. The objectives is to identify the social, cultural, and economic conditions which might influence the pregnant women participation in integrated service post. This study used a qualitative approach with an ethnographic design. Data were collected through in-depth interviews, focus group discussion, observation, and nominal group process. The data collected were analyzed using content analysis. The social, cultural, and economic conditions that strongly affected the pregnant women participation in integrated service post, because of the poverty. The social and cultural condition that affected belief in myths and food taboos which are highly contradictory to the medical rules. The economic conditions that affected is women have heavy domestic and productive workloads. Their physical and psychological burdens were excessively high that could endanger the health. The participation of pregnant women was not based on true awareness for maintaining their health but such participation was more based on their desires of getting one box of instant noodles. The participation model for the pregnant women was designed using participatory (nondirective) approach which was productive